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An acute presentation of orbital lymphangioma in a five-year-old child in Pakistan
Jibran Riaz1, Amber Mohsin1, Saima Ahmad2
1Lahore Medical and Dental College, Lahore, Pakistan.
Insights
Orbital lymphangiomas, benign vascular malformations, can cause vision loss. Intralesional foam sclerotherapy effectively treated a pediatric orbital lymphangioma, leading to complete lesion resolution.
Area of Science:
- Ophthalmology
- Vascular Malformations
- Pediatric Surgery
Background:
- Lymphangiomas are benign, multi-cystic malformations of lymphatic and vascular systems.
- Commonly found in the head and neck of pediatric patients.
- Ocular lymphangiomas can lead to compressive optic neuropathy and surgical challenges due to infiltration.
Observation:
- An acute case of orbital lymphangioma in a five-year-old child.
- The lymphangioma presented with potential for impaired ocular movement and optic nerve compromise.
- Associated hemorrhage complicated the clinical presentation.
Findings:
- The pediatric patient underwent monthly sessions of intralesional foam sclerotherapy.
- Complete resolution of the orbital lymphangioma lesion was achieved.
- Intralesional foam sclerotherapy proved effective in managing this challenging case.
Implications:
- Intralesional foam sclerotherapy offers a viable and effective treatment for orbital lymphangiomas.
- This minimally invasive approach can resolve complex cases, avoiding extensive surgery.
- Successful treatment can prevent vision loss and improve ocular function in pediatric patients.
Abstract:
Lymphangiomas are multi-cystic malformations involving the lymphatic and vascular systems. Most commonly occurring in the head and neck region in the paediatric age group, lymphangiomas generally are benign in nature. Given the tumour's mass, the lymphangioma itself or the accompanying haemorrhage may impair ocular movement and result in compressive optic neuropathy. Furthermore, lymphangiomas have the potential to unevenly infiltrate nearby critical structures including the optic nerve. This trait poses numerous surgical difficulties and makes the therapy of ocular lymphangiomas particularly challenging, especially with the associated haemorrhage. This case report presents an acute case of orbital lymphangioma in a five-year-old child who was treated with monthly sessions of intralesional foam sclerotherapy. Complete resolution of the lesion was observed at the end of the sclerotherapy sessions.
